| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
11,111 |
5,686 |
$653K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,856 |
7,210 |
$565K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,432 |
7,514 |
$403K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,988 |
4,979 |
$389K |
| 87428 |
|
1,684 |
1,208 |
$71K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,479 |
1,744 |
$60K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,364 |
1,913 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,245 |
3,907 |
$55K |
| 71046 |
Radiologic examination, chest; 2 views |
483 |
441 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
429 |
311 |
$6K |
| 87807 |
|
219 |
171 |
$3K |
| 81003 |
|
1,852 |
1,172 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
106 |
90 |
$834.74 |
| 81025 |
|
153 |
87 |
$532.76 |
| 81002 |
|
145 |
109 |
$230.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
37 |
36 |
$54.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
12 |
$24.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
20 |
15 |
$12.16 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
14 |
$1.90 |
| 99000 |
|
1,087 |
423 |
$0.00 |
| A9150 |
Non-prescription drugs |
62 |
53 |
$0.00 |
| S9083 |
Global fee urgent care centers |
914 |
247 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
53 |
51 |
$0.00 |